Individual
MR. JUSTIN FAUDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
118 OUTWATER LN, GARFIELD, NJ 07026-2629
(973) 955-2190
Mailing address
270 STEVENS AVE # 1, JERSEY CITY, NJ 07305-1314
(551) 655-5535
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR01152800
NJ
Other
Enumeration date
04/04/2024
Last updated
04/04/2024
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